To the Editor: In many patients, epilepsy may coexist with a psychiatric disorder. This is easy to recognize when the patient’s underlying seizure disorder is well characterized. In a few patients, the history of seizures may either not be forthcoming or the ictal events may be characterized by extremely bizarre behavior. These patients may present to either the neurology or psychiatry services. If care is not well coordinated between these two services, such patients risk misdiagnosis and inappropriate treatment.